| Dr Abimbola Modupe Osobamiro, MD | |
|
133 S Main St, Mount Clemens, MI 48043-2308 | |
| (586) 468-1600 | |
| (586) 465-0329 |
| Full Name | Dr Abimbola Modupe Osobamiro |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 133 S Main St, Mount Clemens, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356335418 | NPI | - | NPPES |
| 4846450 | Medicaid | MI | |
| 70-0-F32947-0 | Other | MI | BCBS CPIN # |
| AO063170 | Other | MI | BCBSM |
| 1356335418 | Other | MI | NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063170 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health | Troy, MI | Home health agency |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Henry Ford Hospital | Detroit, MI | Hospital |
| Beaumont Hospital Royal Oak | Royal oak, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Physician Partners | 8921482605 | 73 |
| Entity Name | Alliance Health Professionals Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841615648 PECOS PAC ID: 7618199225 Enrollment ID: O20141117000290 |
| Entity Name | Henry Ford Physician Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427703602 PECOS PAC ID: 8921482605 Enrollment ID: O20220830000387 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Abimbola Modupe Osobamiro, MD Po Box 675398, Detroit, MI 48267-5398 Ph: (586) 329-1880 | Dr Abimbola Modupe Osobamiro, MD 133 S Main St, Mount Clemens, MI 48043-2308 Ph: (586) 468-1600 |
Dr. Vasudevarao Mandava, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 18 Market St, Suite C, Mount Clemens, MI 48043 Phone: 586-783-2222 Fax: 586-783-6280 | |
Japjit Kaur Serai, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Haditya Behl, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 | |
Robert A Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 | |
Misha Kaur Chowdhary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Travis Singh Sekhon, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 | |
Venkata Munagala, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |